About MOLST in Massachusetts

During 2010, a MOLST pilot program is being implemented in certain demonstration sites in the Greater Worcester area of Massachusetts.

This MOLST demonstration began with the enactment of Section 43 of Acts of 2008, which required a program to "test the implementation of a physician orders for life-sustaining treatment (POLST) paradigm program to assist individuals in communicating end-of-life care directives across care settings in at least 1 region of the commonwealth." 

Different versions of POLST paradigm programs and forms are used in other states.  The Massachusetts MOLST form is tailored to the unique health care systems, laws, environment and needs of Massachusetts residents.  Only the Massachusetts MOLST form may be used to establish Medical Orders for Life-Sustaining Treatment in Massachusetts.

MOLST in Massachusetts
Legislation to establish a MOLST program in Massachusetts was the outcome of years of discussion and planning by citizens and health care professionals.

Policy
Read the Massachusetts Department of Public Health circular letter in support of MOLST and find out how MOLST relates to national policies, such as the Patient Self-Determination Act.

Evaluation
Find out how the MOLST pilot program will inform recommendations for establishing a state-wide MOLST program.

Frequently Asked Questions - Find the answers to questions about MOLST from patients and their families, health professionals, lawyers and others in Massachusetts.

Glossary of Terms
The words used to discuss end-of-life care issues are often confused by the public and health professionals alike. These definitions may be helpful.